Employee Advisory Council

Benefits

Benefits Section  
Annex I
Room 1111
Phone 706/721-3770 
Patricia Riley, Assistant Director of Benefits/Data Management

PPO Provider Directory

The Benefits Section administers the various benefit plans of the Medical College of Georgia and communicates pertinent information concerning those plans. The Benefits staff:

• Processes benefit enrollment applications and requests for changes in coverage
• Communicates information to employees, retirees, and COBRA participants concerning changes in benefit plans
• Provides an overview  of each benefit plan to new employees during biweekly employee orientation sessions
• Administer the Workers Compensation program
• Processes life insurance claims
• Provides verification of insurance coverage for employees, retirees and COBRA participants
• Provides counseling on retirement plans/options
• Processes applications for retirement plans
• Provides information on tax sheltered annuities and deferred compensation plans
• Administers Leave of Absence, FMLA, Military, Education and Personal leave plans

Other Information:

• Benefit Plan Summary (2008)
• Benefits Information for Terminating Employees and employees whose work commitment is reduced to less than half-time
• Cobra Benefits Plan Premium Summary
• COBRA Notice
• Deferred Compensation Plan
• Tax Sheltered Annuity Plan

Forms:

You may return the completed forms along with any necessary supporting documentation to the Benefits Department at HS-1111 or
fax 706-721-1572.

• AFLAC Authorization Form
• AFLAC Cancer Claim Form
• AFLAC Disability Continuation Form
• AFLAC Accident or Injury Form
• AFLAC Sickness or Pregnancy Form
• COBRA Application
• Flexible Spending Account Claim Form
• Flexible Spending Account Enrollment Form (pdf)
• Flexible Spending Account Plan Document
• Family & Medical Leave Request Form (pdf)
• Family & Medical Leave Certification Form (pdf)
• FMLA Return to Work Form (pdf)
• Hartford Life Beneficiary Change Form (pdf)
• HMO Certification of Dependency
• Incapacitated Dependent
• Insurance Change Request
• Insurance Enrollment form
• MCG 403(b) Salary Reduction Agreement Form (pdf)
• MCG 457(b) Salary Reduction Agreement Form (pdf)
• Outstanding Wages Beneficiary Designation
• Hartford ADD Beneficiary Form
• Worker's Compensation Employee's Report of Accident/Injury
• Worker's Compensation Leave Election Form
• Worker's Compensation Incident Only Form